In the US, UK, or Canada passing the right assessment exams is paramount for nursing practice , this guide breaks down everything you need to know – from eligibility requirements to study tips and every other thing to transform your nursing career
Global Assessment Exams for Nigerian Nurses
Global assessment exams serve as critical checkpoints that validate your nursing skills and knowledge against international standards. For Nigerian nurses, these exams aren’t just bureaucratic hurdles—they’re the bridges connecting your local experience to worldwide opportunities.
What Are Global Assessment Exams?
Global assessment exams are standardized evaluations designed to verify that internationally educated nurses (IENs) meet the competency standards of their destination countries. These assessments typically include:
- Knowledge-based examinations that test theoretical understanding
- Clinical competency assessments that evaluate practical skills
- English language proficiency tests that measure communication abilities
The major exams Nigerian nurses encounter include the CGFNS Qualifying Exam for the US, NCLEX-RN/PN for the US and Canada, NMC Test of Competence for the UK, and the NNAS assessment for Canada.
Why Do These Exams Matter?
These exams matter because they:
- Validate your qualifications to regulatory bodies abroad
- Ensure patient safety by confirming your competency
- Create global mobility for your nursing career
- Open doors to better compensation and professional growth
As Nurse Adaobi from Lagos who passed her NCLEX in 2024 puts it, “These exams no be small thing o, but na dem dey open door for better life and career advancement for foreign.”
Key Global Assessment Exams for Nigerian Nurses
Each destination country has specific examination requirements. Let’s break them down one by one.
CGFNS Qualifying Exam (United States)
The Commission on Graduates of Foreign Nursing Schools (CGFNS) Qualifying Exam serves as an important stepping stone for Nigerian nurses heading to America.
What it involves:
- Computer-based test with 165 multiple-choice questions
- Tests core nursing knowledge expected of entry-level US RNs
- Offered four times yearly (March, July, September, November)
- Costs approximately $250 USD
Why it matters: The CGFNS Qualifying Exam fulfills the nursing knowledge requirement for the VisaScreen Certificate—a necessity for US work visas. Some US states even require passing this exam before you can sit for the NCLEX-RN.
Pro tip: Apply early! The application deadlines fall about 3 months before each exam window.
NCLEX-RN & NCLEX-PN (United States & Canada)
The National Council Licensure Examination (NCLEX) is the gold standard for nursing licensure in North America.
What it involves:
- Computer-adaptive test that adjusts question difficulty based on your performance
- RN exam: 75-145 questions; PN exam: 85-205 questions
- Tests clinical reasoning and decision-making skills
- Costs about $200 USD, plus additional international fees
- Pass rates for internationally educated nurses hover around 54.5%
Why it matters: Passing the NCLEX grants you license to practice in the US and many Canadian provinces. It’s the final hurdle before becoming a registered or practical nurse in North America.
Locations in Nigeria: NCLEX can be taken at Pearson VUE centers in Lagos and Abuja, but seats fill quickly. Book early!
NMC Test of Competence (United Kingdom)
The UK’s Nursing and Midwifery Council (NMC) Test of Competence consists of two parts.
What it involves:
- Part 1: Computer-Based Test (CBT) with two sections:
- Part A: Numeracy assessment
- Part B: Clinical questions specific to your nursing field
- Part 2: Objective Structured Clinical Examination (OSCE) with 10 stations testing clinical skills
- CBT can be taken in Nigeria; OSCE must be taken in the UK
- Total costs exceed £1,000 including registration fees
Why it matters: This two-part assessment is mandatory for all internationally educated nurses seeking to practice in the UK.
Important note: Following issues at an Ibadan test center, the NMC has become stricter about test integrity. Make sure you register at authorized centers only.
NNAS Assessment (Canada)
The National Nursing Assessment Service (NNAS) evaluates credentials for nurses seeking to work in Canada.
What it involves:
- Comprehensive documentation review
- Education and qualification assessment against Canadian standards
- Application fee of approximately $845 CAD
- Results in an Advisory Report sent to your chosen provincial regulatory body
Why it matters: The NNAS assessment is typically the first step for Nigerian nurses seeking Canadian licensure. After receiving your Advisory Report, provincial nursing regulators may require additional steps like the NCLEX-RN or clinical competence assessments.
NMCN Computer-Based Testing (Nigeria)
The Nursing and Midwifery Council of Nigeria (NMCN) now conducts all professional qualifying examinations as computer-based tests.
What it involves:
- Quarterly examinations (March, May, September, November)
- Covers various nursing specialties
- Tests theoretical knowledge and clinical reasoning
- Recent transition from paper-based to computer-based format
Why it matters: Even if you’re planning to work abroad, you must first be licensed in Nigeria. Plus, the shift to CBT helps prepare you for the format of international exams.
English Language Proficiency Requirements
No matter where you plan to practice, proving your English proficiency is non-negotiable.
Common English Tests for Nurses
OET Basics for Nigerian Nurses: Complete Guide to Succeed Abroad
| Test | Countries That Accept It | Typical Minimum Score | Validity |
|---|---|---|---|
| IELTS Academic | US, UK, Canada, Australia | Overall: 6.5-7.0 | 2 years |
| OET (Nursing) | US, UK, Australia | Minimum B (350-440) | 2 years |
| TOEFL iBT | US, Canada | Overall: 83-100 | 2 years |
| PTE Academic | US, Australia | Overall: 65 | 2 years |
Recent update: CGFNS has lowered the PTE speaking requirement from 63 to 50, making one barrier to VisaScreen certification easier to overcome.
Preparing for Success: Practical Tips for Nigerian Nurses
Passing these exams requires strategic preparation. Here’s how to increase your chances of success.
Create a Structured Study Plan
A well-organized study approach dramatically improves your odds of passing.
- Assess your strengths and weaknesses through diagnostic tests
- Dedicate 2-3 hours daily to focused study for at least 12 weeks
- Prioritize high-yield topics like pharmacology and patient safety
- Use active learning techniques like practice questions and case studies
“I scheduled my study time like shifts at the hospital—non-negotiable,” says Ibrahim, a Nigerian nurse who passed NCLEX on his first attempt. “Consistency beats cramming any day.”
Resource Options for Every Budget
You don’t need to break the bank to prepare effectively.
Free/Low-Cost Resources:
- NCSBN Learning Extension’s mini practice exams
- YouTube channels like SimpleNursing and RegisteredNurseRN
- Local study groups in Lagos, Abuja, and other major cities
- Second-hand review books (Saunders, Kaplan)
Worth the Investment:
Best NCLEX Review Courses for Nigerian Nurses
- UWorld question bank (adaptive practice questions)
- Kaplan or NCSBN review courses
- Virtual OSCE preparation programs
Overcoming Common Challenges
Nigerian nurses face unique obstacles when preparing for global assessments.
Financial Constraints:
- Apply for the NMCN’s 2025 Nurse Mobility Fund
- Form study groups to share materials and costs
- Look for employers who sponsor examination fees
Test Anxiety:
- Practice deep breathing techniques before and during exams
- Take full-length practice tests under realistic conditions
- Join online forums where Nigerian nurses share experiences
Technology Issues:
- Regularly practice computer-based testing formats
- Familiarize yourself with different question types
- Visit your testing center in advance if possible
Success Stories and Practical Advice
Meet Nigerian nurses who’ve successfully navigated these exams.
Chika’s Journey to UK Registration
“The CBT wasn’t too difficult since I prepared well, but the OSCE required practical skills we don’t always use in Nigerian hospitals,” Chika explains. “I practiced with a senior colleague who had worked in the UK, focusing on communication skills and documentation—areas where many Nigerian nurses struggle.”
Her advice? “Role-play clinical scenarios with friends and record yourself to identify areas for improvement.”
Adaobi’s NCLEX Success Story
After three months of dedicated study, Adaobi passed the NCLEX-RN on her first attempt.
“I treated studying like a full-time job,” she shares. “UWorld questions were my best friend—I completed all 2,000+ questions twice and reviewed every explanation carefully.”
Her top tip: “Don’t just memorize answers. Understand the rationale behind each option, especially for priority and delegation questions.”
FAQs About Global Assessment Exams for Nigerian Nurses
Q: Can I take the NCLEX before CGFNS QE? A: Yes, some US states allow direct NCLEX registration without requiring the CGFNS Qualifying Exam. Check with your chosen state board for specific requirements.
Q: How long does the whole process take from CGFNS to US licensure? A: Typically 6-18 months, depending on document processing speed, exam availability, and visa timelines.
Q: What if I fail an exam on the first attempt? A: You can retake both CGFNS QE and NCLEX after a waiting period (usually 45-90 days). Additional fees apply for each attempt.
Q: Are there any scholarships available for Nigerian nurses taking these exams? A: Limited scholarship opportunities exist through organizations like NANNNA (National Association of Nigerian Nurses in North America) and some US healthcare facilities recruiting internationally.
Q: Which exam should I take first if I’m undecided about my destination country? A: If you’re undecided, the NCLEX-RN offers the broadest opportunities as it’s recognized in both the US and Canada, and its preparation can help with other exams too.
Next Steps: Your Global Nursing Journey Begins Here
Ready to take on global assessment exams? Here’s your action plan:
- Determine your target country and identify the specific exams required
- Register for an English proficiency test if needed
- Create your CGFNS Connect account or apply to your chosen assessment pathway
- Develop a structured study plan with realistic timelines
- Join online communities of Nigerian nurses preparing for the same exams
Remember, thousands of Nigerian nurses have successfully navigated these exams before you. With determination, preparation, and the right resources, you can join their ranks and transform your nursing career on the global stage.
Community Support: Connect with other Nigerian nurses through NANNNA forums, Facebook groups like #CGFNSNigeria and #NCLEXPrep, or local study groups in your area.
Your international nursing journey isn’t just a dream—with the right preparation for these global assessment exams, it’s an achievable reality. Take that first step today!